Notification of Overseas Adoption Leave and Pay Details

Data Protection Act 1998 - we will only process your personal data in order to respond to your Adoption Request, which will be treated confidentially. In general it will be used for administrative, monitoring and statistical purposes.

Employee Full Name *

Home e-mail address *

To ensure correspondence is sent to the correct address, please remind the employee to check and update their addresses and other personal details via ESS Lite

1. Receive your full entitlement to OAP on commencement of your adoption leave. Please note that this payment will be recovered from you in the event that you do not return to work for a period of 3 months (for support staff) or 13 weeks or the full time equivalent (for teaching staff), OR:

2. Suspend payment of the 12 weeks OAP until you return to work. The payment will be made upon your return to work, but will be recovered from you in the event that you do not return to work for a period of 3 months (for support staff) or 13 weeks, or full time equivalent (for teaching staff).

A photocopy of my Matching Certificate has been sent to the IBC.

A photocopy of my Matching Certificate has been sent to the IBC.

Yes

No

You need to show your Matching Certificate to your Line Manager and send a photocopy to the IBC. Your pay details cannot be completed until the IBC has received a photocopy of your Matching Certificate

Evidence of the child's entry into Great Britain has been sent to the IBC

Evidence of the child's entry into Great Britain has been sent to the IBC

Yes

No

You need to show your evidence of the child's entry to Great Britain to your Line Manager and send a photocopy to the IBC. Your pay details cannot be completed until the IBC has received a photocopy of this evidence.

I declare that I have elected to receive Statutory Adoption Pay and not Statutory Paternity Pay (Adoption), in respect of this adoption

Please tick box *

Please tick box

I understand that if I do not return to work for a least 3 months, I will be required to repay such sum(s) as specified by Hampshire County Council in respect of monies paid in excess of Statutory Adoption Pay

Please tick box *

Please tick box

I confirm that I am in the process of adopting a child and that the above information is correct. I also confirm that I understand and accept the conditions of the Occupational and Statutory Adoption Leave and Pay Scheme.

Please tick box *

Please tick box

I consent to Hampshire County Council procession this information and any relevant personal data for administrative purposes in relation to me adopting a child and my request for adoption leave and pay.

Please tick box *

Please tick box

Have you informed your line manager of your adoption? *

Have you informed your line manager of your adoption?

Yes

No

Complete your line manager's email address below and a copy of the form will be sent to them.

Line Manager's Name *

Line Manager's e-mail *

Please use this box to provide any other information you feel is relevant to this notification.

A copy of your form will be sent to your email address when you submit the form.